Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $114.82 / $114.82	Facility		$104.71	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $316.23	Professional		$91.20	$104.71	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $125.89	Professional		$72.44	$104.71	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $123.03	Professional		$97.72	$114.82	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72